Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Chronic Arthritis Due to Mycobacterium intracellulare after Trauma

외상 후 발생한 Mycobacterium intracellulare에 의한 만성 관절염 1예

  • Kim, Jae-Gyung (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Dae-Won (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Cho, Yul-Hee (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Yim, Sun-Mie (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kang, Ju-Hyun (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Joo, Young-Bin (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kang, Hyeon-Hui (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Song, Jeong-Sup (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Yoon, Hyoung-Kyu (Department of Internal Medicine, The Catholic University of Korea College of Medicine)
  • 김재경 (가톨릭대학교 의과대학 내과학교실) ;
  • 김대원 (가톨릭대학교 의과대학 내과학교실) ;
  • 조율희 (가톨릭대학교 의과대학 내과학교실) ;
  • 임선미 (가톨릭대학교 의과대학 내과학교실) ;
  • 강주현 (가톨릭대학교 의과대학 내과학교실) ;
  • 주영빈 (가톨릭대학교 의과대학 내과학교실) ;
  • 강현희 (가톨릭대학교 의과대학 내과학교실) ;
  • 송정섭 (가톨릭대학교 의과대학 내과학교실) ;
  • 윤형규 (가톨릭대학교 의과대학 내과학교실)
  • Received : 2011.09.26
  • Accepted : 2011.11.22
  • Published : 2012.02.29
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Abstract

While nontuberculous mycobacterium (NTM) infections are recently on the rise, arthritis caused by NTM is hardly reported in Korea. NTM arthritis has no distinctive clinical characteristics from chronic arthritis. Tuberculosis of the joint specifically produces similar clinical and pathologic presentations to NTM arthritis, so it is not easy to distinguish between them. We report a case of Mycobacterium intracellulare in an arthritis patient after trauma and surgical repair of the injury. At the beginning, the patient was diagnosed as tuberculous tenosynovitis through pathology without microbiologic evidence. The final diagnosis was made after subsequent recurrences for several years. The misdiagnosis and delayed diagnosis led to irreversible joint destruction and functional impairment. NTM infection must be included in the differential diagnosis of chronic arthritis at the outset.

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References

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